File documents/ mail in the legal files. Open, date, and sort the legal mail.
Essential Duties & Responsibilities | • Send appropriate initial and follow up forms in compliance with applicable regulations.
o Timely set-up new claims.
• Index and route mail including doc typing and setting task descriptions.
• Make appropriate inquiry to obtain additional information required to effectuate job responsibilities.
• Timely complete and maintain mailing logs.
• Support the timely delivery of mail and files to the claims professionals.
• Obtain and follow up for W9’s; keep, preserve and organize returned W9’s.
• Copy files.
• Fee Schedule NF billing including generation of EOB’s.
• Maintain records and provide information to generate production reports.
• Assist in check request and preparation process.
• Assist in preparation of denials and delays. - Assist in preparing a file for IME or Peer Review for the vendor.
- Assist in identified initiatives or projects.
- Assist in effectuating the dosing of files.
- Telephone contacts with claimants and providers.
- Facilitate the generation of pay requests.
- Facilitate the referral for TOA investigations.
| Other Duties | This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor. | Qualifications | Basic but evolving knowledge of the applicable No Fault claims and applicable regulations and litigation. |
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